HomeMy WebLinkAbout1415 McLaughlin Ln - 247106304002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 911
Please call for final inspection before covering anv Dortion of installed system.
OWNER: Stan Karr PHONE: 9255-8622
MAILING ADDRESS: P . 0. Box 11856 Aspen, CO 81612
AGENT: Self PHONE: 925-8622
SYSTEM LOCATION: 1415 McLaughlin Lane Basalt, CO 81612
j(IR"RINSTALLER: Self LICENSE NO. N/A
DESIGN ENGINEER OF SYSTEM -
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 750 Gallon septic tank with 330 standard drain field OR 120 lineal feet
of 10" SB2
ENVIRONMENTAL HEALTH OFFICER: Erik Edeen DATE: May 30, 1989
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25-10.104, C.R.S. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH
LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED'
PRIOR TO COVERING ANY PORTION OF THE SYSTEM. % j('�
elINSTALLED ABSORPTION OR DISPERSAL AREA: 3 7/ SQUARE FEET. ✓�� / �� r�rS /l�'I �i �j
INSTALLED SEPTIC TANK: 760 GALLONS -2 DEGREES 15 FEET 76P~ A4ZJ-5 � �a
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: N
�1
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT/AGENT: Stan Karr AMOUNT PAID: $275.00 RECEIPT#: /7
16
PERMIT
OWNER: Stan Karr
CHECK#: Money Order
CASHIER: April RUsch
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, COLORADO 81631
No. cyd" 1
I;E FE R To 32-54,
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00
NAME OF OWNER: ('
MAILING ADDRESS:
NAME OF APPLICANT (If different from owner
ADDRESS:
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ( ) YES N
ADDRESS: 1 )0 AQ^V' % l g��Cn
PHONE:
PHONE:
PHONE: �� ,. C.'e- --
PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDU L SEWAGE DISPOSAL SYSTEM:
Physical.Address:
Parcel Number: Size:
Legal Description:
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( Residential,- Duplex ( ) Commercial (Type)
( ) Residential riplex
NUMBER OF PERSONS: NUMBER OF BEDOMS:
WASTE TYPES Check applicable categories):
Commercial or Institutional ( ) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( Vault Privy ( } Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable
Use
( ) Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES
NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (' YES ( )
NO
WATER CONSERVATION PLAN: ( YES ( )
NO
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservation plan.
SOURCE AND TYPE OF WATER SUPPLY: O Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:'u�}�ia��
SIGANTURE: A DATE:
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL'HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope n 10,170
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
A f Minutes per inch in Hole #2
0. 5iff.. go Minutes per inch in Hole #3
FINAL DISPOSAL BY:
(,) Absorption Trench, Bed or Pit
( ) Above Ground Dispersal
( ) Under Ground Dispersal �(
( ) Other '�ONn 6
AMOUNT PAID: RECEIPT NUMBER
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
(Environmental Health Dept. - Rev. 4/88)
Evapotranspiration
Sand Filter
Wastewater Pond
DATE: /a— P-7--0
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
M me
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. 3254____
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail
328-7311 Eagle
927-3823 Basalt
PERMIT APPLICATION FEE $150.00 ( PERCOLATION TEST FEE $125.00
NAME OF OWNER: Stan Karr
MAILING ADDRESS: P. 0. Box 11856 Aspen, CO 81612 PHONE: g25-6(p2_2_
NAME OF APPLICANT (If different from owner):
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: 5f-61-f-L K0rr
LICENSED INSTALLER: ( ) YES ()C) NO
ADDRESS: FD BOX IIBs(o A6pe i' co 88161Z. PHONE: e-125- C,,Z2
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: 1415 McLaughlin Lane, Basalt, CO 81612
Parcel Number: 2471-063-04-002 Lot Size: I.I9 Ae-re-
Legal Description: Lot 24 Ruedi Shores Filing #1
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: I NUMBER OF BEDROOMS: Z,
WASTE TYPES Check applicable categories):
Commercial or Institutional ( ) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ). Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (aC) YES ( ) NO
WATER CONSERVATION PLAN: (X) YES ( ) NO
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservation plan.
SOURCE AND TYPE OF WATER SUPPLY: (X) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier: 'uf i 6- hor Z5
SIGANTURE: DATE: 10-Z-7--S2
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope r i qo
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
A\JGl.
f3 M PZ Minutes per inch in Hole #2
W5C" 10 M px, Minutes per inch in Hole #3
FINAL DISPOSAL BY:
(3e Absorption Trench, Bed or Pit
( ) Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID: A 215 RECEIPT NUMBER
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
NOTE: DETAILED SITE PLAN MUST BE ATTACKED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO:'"EAGLE COUNTY TREASURER"
(Environmental Health Dept. - Rev. 4/88)
mTIlwiffG
REPAIR PERMIT APPLICTAION
FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS
A permit fee of $150.00 shall be charged for alteration, enlargement or any -repair
involving alteration of an existing sewage disposal system. This fee is authorized
by Eagle County Individual Sewage Disposal System Regulations adopted and effective
March 27, 1980.
For minor repairs of less than $100.00 for maintenance of the individual sewage
disposal system, no fee shall be required.
A percolation test fee of $125 shall be charged for all new leach fields on
repair permits. Percolation testing may be waived at the discretion of the
Environmental Health Officer on certain repair cases where prompt action must
be taken to prevent a health hazard.
IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, ANEW SYSTEM SHALL BE INSTALLED
COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE
APPLICABLE.
DESCRIPTION OF PROBLEM/MALFUNCTION:
TYPE AND SIZE OF SYSTEM PRESENTLY IN USE:
DATE PRESENT SYSTEM WAS INSTALLED:
PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT : r
SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS:
r % Z
v e i_sh l
OWNER OF SYSTEM:
ADDRESS: PHONE:
APPLICANT:
ADDRESS:
DATE:
PHONE:
PERCOLATIO'! TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle Count/
FEE: $125.00 ISDS APPLICATION NO. 1Z,�
OWNER:' -awn IC0./�/V
LEGAL DESCRIPTION: L U
RURAL ADDRESS:
TYPE OF DWELLING:
I NUMBER OF BEDROCIMS: �..
DATE OF PERCOLATION TEST: I Q ° TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES NO 1(
TI.1E II WATER DEPTH II INCHES OF FALL
2 3 ��_ � rt RATE
II I I II I I q
II I I II I I II
I II I II I I II
II I 1 II � 1 II
PERCOLATION RATE:
RECO-MMENDED MINIMUM SEPTIC TANK SIZE: %,SCE n-A l j 0 O
RECOMMENDED MINIMUM LEACH FIELD SIZE: 33C�
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIE!•IED AND TESTED FOR PERCOLATION RATE. \
D
Environmental Health Officer
COMMENTS: 56 �i l /0
U5� /26
Rev. 5/31/84
to
'0
ff
----------------
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
May 19, 1992
Stan Karr
P.O. Box 11856
Aspen, CO 81612
RE: Final of ISDS Permit No. 911-88
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328-7207
This letter is to inform you that the above referenced ISDS
Permit has been inspected and finalized. Enclosed is a copy to
retain for your records. This permit✓ does not indicate
compliance with any other Eagle County requirements. Also
enclosed is a brochure regarding the care of your septic system.
Be aware that later changes to your dwelling may require
appropriate alterations of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Division at
328-8755.
Sincerely,
Brenda Henderson
Office Assistant
Environmental Health
bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP= 3254
MEMORANDUM
Date: October 20, 1989
To: File No. 911
From: Raymond P. Merry, RS
Re: Status of ISDS Permit <11IStan Karr
An October 18, 1989 site visit to the property Lot 24,
Filing 1, Ruedi Shores (owner Stan Karr) indicated that only the
forms for the foundation were in place. Discussions with John
Morris and Fred Gloor indicated that Mr. Karr would not proceed
until Spring of 1990.
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Stan Knrr
S-zZ —89 Name
Date Routed jr 15 Mc aighlin Lan6 t Application No.
cation
Please review the attached Individual Sewage Disposal System Permit Application and
return it with this completed form the the Environmental Health Office.
PLANNING: Complies with - YES NO REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval: S ��
COMMENTS
/:�/J_
BUILDING: Complies with -
Building Permit Applied For:
Bu'ildina Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENVIRONMENTAL HEALTH: Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
VF7C N() DMIT1=1.Mr) RV nATC
Iry n�.ri�•.•r �.� �.
vi111-
X
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
October 4, 1990
Dear Applicant:
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
Please be advised that this office will not be conducting
percolation tests between November 15, 1990 and March 15,
1991. Additionally, all final inspections on installed
systems must be completed prior to December 1.
If you have any questions, please call me at 328-8730 or
927-3823 ext. 730 in the Basalt/El Jebel area.
Sincerely,
Roger Hosea
Asst. Environmental Health Officer
RH/alm
JOB NAME
0 r7
JOB NO.
JOB LOCATION-
911 Karr Lot 24 Ruedi Shores
1415 McLaugnlln basalt
BILL TO
DATE STARTED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
4� J�
'
,a
3
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER P. V �Y� .5 ' I V JOB FOLDER Printed in U.S.A.